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  1. Article ; Online: Clinicopathological evaluation of intralesional methotrexate in different subtypes of basal cell carcinoma.

    Khashaba, Shrook A / Elgarf, Ahmad Mohamed / Hamed, Dina Esmat / Elkashishy, Kamal Ahmed / Said, Nelly Mohamed

    Dermatologic therapy

    2022  Volume 35, Issue 4, Page(s) e15315

    Abstract: Basal cell carcinoma (BCC) is the most common malignant skin tumor. While slowly growing, it can cause major skin disfigurement. Therefore, novel cosmetically acceptable treatment options, other than surgery require investigation. The aim of the study ... ...

    Abstract Basal cell carcinoma (BCC) is the most common malignant skin tumor. While slowly growing, it can cause major skin disfigurement. Therefore, novel cosmetically acceptable treatment options, other than surgery require investigation. The aim of the study was to evaluate efficacy and safety of intralesional methotrexate (MTX) as a convenient modality for BCC treatment clinically and pathologicaly. A total of 20 patients with BCC of any clinical variant underwent intralesional MTX injection at a maximum 1 mL of 25 mg/mL MTX per session. Histopathological assessments were performed before and 1 month after treatment. Forty percent of patients showed >50% clinical improvement after 1-4 sessions. Intralesional MTX is a suitable and safe treatment modality for BCC and may be used as an adjuvant to surgery.
    MeSH term(s) Carcinoma, Basal Cell/chemically induced ; Carcinoma, Basal Cell/drug therapy ; Humans ; Injections, Intralesional ; Methotrexate ; Skin/pathology ; Skin Neoplasms/pathology
    Chemical Substances Methotrexate (YL5FZ2Y5U1)
    Language English
    Publishing date 2022-01-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1354801-3
    ISSN 1529-8019 ; 1396-0296
    ISSN (online) 1529-8019
    ISSN 1396-0296
    DOI 10.1111/dth.15315
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Insights Into MRI Neuroimaging Patterns of COVID-19 in Children: A Retrospective Comprehensive Analysis.

    Nada, Mohamad Gamal / Almalki, Yassir Edrees / Basha, Mohammad Abd Alkhalik / Metwally, Maha Ibrahim / Dessouky, Riham / Radwan, Mohamed Hesham Saleh Saleh / Zaitoun, Mohamed M A / Abdalla, Ahmed A El-Hamid M / Bessar, Ahmed A A / Tantwy, Engy Fathy / Assy, Mostafa Mohamad / Dawoud, Bassant Mahmoud / Hanna, Diana / Gohary, Mahmoud M / Alduraibi, Sharifa Khalid / Lduraibi, Alaa K / Eldib, Diaa Bakry / Khater, Hamada M / Sarhan, Noha T /
    Hamed, Dina Esmat / Saadawy, Sara F / Huneif, Mohammed A / Abdelkhalik Basha, Ahmed M / Libda, Yasmin Ibrahim

    Academic radiology

    2024  

    Abstract: Rationale and objectives: Neurological complications associated with coronavirus disease (COVID-19) have been reported in children; however, data on neuroimaging findings remain limited. This study aimed to comprehensively examine neuroimaging patterns ... ...

    Abstract Rationale and objectives: Neurological complications associated with coronavirus disease (COVID-19) have been reported in children; however, data on neuroimaging findings remain limited. This study aimed to comprehensively examine neuroimaging patterns of COVID-19 in children and their relationship with clinical outcomes.
    Materials and methods: This retrospective cross-sectional study involved reviewing the medical records and MRI scans of 95 children who developed new neurological symptoms within 2-4 weeks of clinical and laboratory confirmation of COVID-19. Patients were categorized into four groups based on guidelines approved by the Centers for Disease Control and Prevention (CDC). Initial brain/spinal MRI was performed. Images were reviewed by three blinded radiologists, and the findings were analyzed and categorized based on the observed patterns in the brain and spinal cord. Follow-up MRI was performed and analyzed to track lesion progression.
    Results: Encephalopathy was the most common neurological symptom (50.5%). The most common initial MRI involvement patterns were non-confluent multifocal hyperintense white matter (WM) lesions (36.8%) and ischemia (18.9%). Most patients who underwent follow-up MRI (n = 56) showed complete resolution (69.9%); however, some patients developed encephalomalacia and myelomalacia (23.2% and 7.1%, respectively). Non-confluent hyperintense WM lesions were associated with good outcomes (45.9%, P = 0.014), whereas ischemia and hemorrhage were associated with poor outcomes (44.1%, P < 0.001).
    Conclusion: This study revealed diverse neuroimaging patterns in pediatric COVID-19 patients. Non-confluent WM lesions were associated with good outcomes, whereas ischemia and hemorrhage were associated with poorer prognoses. Understanding these patterns is crucial for their early detection, accurate diagnosis, and appropriate management.
    Language English
    Publishing date 2024-04-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1355509-1
    ISSN 1878-4046 ; 1076-6332
    ISSN (online) 1878-4046
    ISSN 1076-6332
    DOI 10.1016/j.acra.2024.03.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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